In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Testing the urine for glucose levels regularly

Weighing on the same scale each day

Increasing oral fluid intake

Following a low-potassium diet while on furosemide therapy

Answer and Explanation

The Correct Answer is B

A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.

B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.

C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.

D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.

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Correct Answer is B

Explanation

A. Symptoms of Epstein-Barr virus, also known as mononucleosis, can last for several weeks to months, not just 7-10 days.

B. Epstein-Barr virus is spread through saliva, so avoiding sharing drinks or utensils helps prevent transmission.

C. Bed rest is recommended, but it is not the only measure needed; monitoring and managing symptoms is also important.

D. Epstein-Barr virus is a viral infection, and antibiotics are not effective in treating viral illnesses.

A. "We will limit our child's caffeinated beverages" B. "We will limit fluid during the day." C. "We will wake our child at scheduled intervals at night to void." D. "We will need to administer anticholinergics if behavioral strategies are ineffective."

Correct Answer is B

Explanation

A. Limiting caffeinated beverages is a good strategy as caffeine can increase urine production and contribute to enuresis.

B. Limiting fluid intake during the day is not recommended as it can lead to dehydration. Instead, fluids should be limited in the evening before bedtime.

C. Waking the child at scheduled intervals to void is a common behavioral strategy to help manage enuresis.

D. Anticholinergic medications may be prescribed if behavioral strategies are ineffective, indicating that the parents have received proper education on this potential intervention.

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In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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